Organization
WAUKEE CHIROPRACTIC AND ACUPUNCTURE PLLC
Active
Other names
Advanced Chiropractic and Acupuncture
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARETH PATRICK LOURENS DC (OWNER)
(515) 987-1290
Entity
Organization
Contact information
Practice address
1218 SE UNIVERSITY AVE, WAUKEE, IA 50263-8831
(712) 299-1527
Mailing address
1218 SE UNIVERSITY AVE, WAUKEE, IA 50263-8831
(515) 987-1290
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0410942
—
IA
Enumeration date
07/01/2019
Last updated
10/30/2019
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